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Stp Journey Gulles, NP
Gerontology Nurse Practitioner in Riverside, California
NPI 1013653286

Stp Journey Gulles is a Gerontology Nurse Practitioner based in Rosemont, CA and is specialized in Gerontology. Stp Journey Gulles practices in Riverside, CA and has the professional credentials of NP. The NPI Number for Stp Journey Gulles is 1013653286 and holds a License No. 95020502 (California).

The current practice location address for Stp Journey Gulles is 4100 Latham St Ste E, Riverside, CA and can be reached out via phone at 951-393-1333.

Location: 4100 Latham St Ste E, Riverside, CA, 60018-4989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013653286
Provider Name
Stp Journey Gulles
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4100 Latham St Ste E, Riverside, CA, 60018-4989
Phone Number
951-393-1333
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4100 Latham St Ste E
City
Riverside
State
California
Zip
92501-1733
Phone Number
951-393-1333
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Latham St Ste E
City
Riverside
State
California
Zip
92501-1733
Phone Number
951-393-1333
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
95020502 (California)
Definition
Definition to come...
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